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PAK-12617-81889

4 vaccinations 5 coded responses 28 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
297 / SC
Registered
2021-11-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
6FS-84223-45514 Child or adolescent in my care · Male · 2021-11-14

Timeline

  1. 2021-04-09
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-30
    Dose 2 — Pfizer-BioNTech
  3. 2021-11-06
    Registered in v-safe
  4. 2021-11-06
    Dose 3 — Pfizer-BioNTech
  5. 2021-11-06
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness, Neck pain, Pain of skin — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Skin hurts all over, neck sore, dizzy, lightheaded
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Dizzy
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Neck pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Neck pain on sat night, sunday, monday night
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site bruising — Feeling: Fair · Fatigue or tiredness
    Free text: Have a bruise at injection site that is yellow today. Couldnt check in yesterday.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  11. 2021-11-13
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache
    Adult check-in
  12. 2021-11-20
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-11-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-04
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  15. 2021-12-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-12-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-02-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-05-09
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-09-21
    Dose 4 — Pfizer-BioNTech
  20. 2022-09-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  21. 2022-09-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  22. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  23. 2022-09-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  24. 2022-09-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Joint pains
    Adult check-in
  25. 2022-09-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · None
    Adult check-in
  26. 2022-09-28
    Health check-in — day 7, dose 4
    Feeling: Fair · None
    Adult check-in
  27. 2022-10-05
    Health check-in — day 14, dose 4
    Feeling: Fair
    Adult check-in
  28. 2022-10-12
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  29. 2022-10-19
    Survey response — day 28, dose 4
    MedDRA: Diarrhoea, Fatigue, Headache — Feeling: Fair
    Free text: Very tired, headache, diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-10-26
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  31. 2022-11-02
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  32. 2022-12-21
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  33. 2023-03-22
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Pfizer-BioNTech No
22021-04-30Pfizer-BioNTech No
32021-11-06Pfizer-BioNTech No
42022-09-21Pfizer-BioNTech No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-07

Systemic reaction (other): Skin hurts all over, neck sore, dizzy, lightheaded

2021-11-08

Systemic reaction (other): Dizzy

2021-11-09

Systemic reaction (other): Neck pain on sat night, sunday, monday night

2021-11-11

Systemic reaction (other): Have a bruise at injection site that is yellow today. Couldnt check in yesterday.

Release 12 — day 28, dose 4

2022-10-19

Symptoms: Very tired, headache, diarrhea

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDDiarrhoea · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SRODizziness · · ✓
SROInjection site bruising · · ✓
SRONeck pain · · ✓
SROPain of skin · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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